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应用眼部超声和超声生物显微镜诊断犬创伤性巩膜穿孔。

Diagnosis of traumatic scleral perforation in a dog using ocular ultrasound and ultrasound biomicroscopy.

机构信息

Department of Veterinary Clinical Sciences, College of Veterinary Medicine and Research Institute for Veterinary Science, Seoul National University, Seoul, Republic of Korea.

出版信息

Vet Med Sci. 2023 Nov;9(6):2458-2462. doi: 10.1002/vms3.1284. Epub 2023 Sep 21.

DOI:10.1002/vms3.1284
PMID:37733752
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10650228/
Abstract

A 10-year-old spayed female Maltese dog was presented for hypotony of the right eye (OD) with decreased vision. The dorsomedial region of conjunctiva was partially swollen but the globe remained intact. Slit-lamp biomicroscopy revealed intraocular haemorrhage, uveitis, and a limbal, corneoconjunctival ulcer near the swollen conjunctiva. During ocular ultrasonography (OUS), the sclera became indented and hypotony occurred, implicating a full-thickness scleral wound. Ultrasound biomicroscopy (UBM) confirmed a full-thickness scleral defect, which was surgically apposed. The intraocular pressure normalised and the uveitis subsided post-operatively. OUS and UBM were helpful in suggesting and definitively diagnosing scleral perforation, leading to accurate treatment and good prognosis.

摘要

一只 10 岁已绝育雌性马尔济斯犬因右眼（OD）眼压降低伴视力下降就诊。结膜的背内侧区域部分肿胀，但眼球完整。裂隙灯生物显微镜检查显示眼内出血、葡萄膜炎和肿胀结膜附近的角巩膜溃疡。在眼部超声检查（OUS）期间，巩膜凹陷并出现眼压降低，提示巩膜全层伤口。超声生物显微镜（UBM）证实了巩膜全层缺损，并进行了手术对位。术后眼压正常，葡萄膜炎消退。OUS 和 UBM 有助于提示和明确诊断巩膜穿孔，从而进行准确的治疗和获得良好的预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ac6/10650228/7ffde0e56403/VMS3-9-2458-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ac6/10650228/fa8022fb8738/VMS3-9-2458-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ac6/10650228/7445a254c0ac/VMS3-9-2458-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ac6/10650228/b3f29329b364/VMS3-9-2458-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ac6/10650228/7ffde0e56403/VMS3-9-2458-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ac6/10650228/fa8022fb8738/VMS3-9-2458-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ac6/10650228/7445a254c0ac/VMS3-9-2458-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ac6/10650228/b3f29329b364/VMS3-9-2458-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ac6/10650228/7ffde0e56403/VMS3-9-2458-g005.jpg

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